1982, 01-14 Permit: 82A-278 Chimney PLAN NUMBER J APPLICATION/PERMIT PERMIT NUMBER
' 1 SPOKANE COUNTY — BUILDING CODES DEPARTMENT �"`� z�
NORTH 811 JEFFERSON / SPOKANE,WASHINGTON 99260 / (509) 456-3675
• ei APPLICANT: COMPLETE NUMBERED SPACES - PRESS HARD TO MAKE 3 COPIES
JOB ADDRESS r; * * 2 0 It 0
1. 120-7 RO---('14 6%. ,,� ixt\i�j, LEGAL DESCRIPTION - SEE ATTACHED
LOT BLOCK SUBDIVISION ❑` PARCEL NUMBER/S 2/1 543 c, t 7 ! * l 0 i.' L} ,-,5
2. ( S 10-'r4 r--4712s.J Act;e -�' 0-7- �`'� 1 �G 2 7 7
3. Ow �� � G�>?`tK�` 1� n'" , i 1 - 1 4-8 2
ADDRESS ZIP Actual Set Backs in Feet
12.0 7 Fie)--(0-I- v Ptd ' 4 7 9,
North South East West
CONTRACTOR f PHONE Size of Parcel Zo a Classification
CON. �' cel rr: )38 1
4. ADCIF ESSZ Type Const. Occupancy Sprinklered
IV . � G� G2,1, NI 7--.0 yfti ❑Yes ❑No 0 Req'd.
DESIGNER PHONE Valuation Building Area in Sq. Ft.
5' ADDRESS ZIP Main Floor Upper Floors Garage Area Storage _
CHANGE OF USE FROM TO Area of Decks Finished Basement Unfin. Basement
6.
TYPENo. Baths No. Stories No. Rooms No. of Dwellings
NEW 0 ALT. ( D'N. 0 RPL. 0 MVE.
7, OF ,...,/ ❑ OTHER
WORK, BLD. 0 PLMB. 0 MECH. 0 M.H. ❑ POOL CERTIFICATE Req'd. Rec'd. No d.
of EXEMPTION
DESCRIBE WOR Enum. Dist. I Location (Area) ' FEES COLLECTED
8. , ►�lt�O 0s�' i 1J
VA4_UATI ON
�} SOURCE GAS ELECTRIC WATER SEWER Ownership ,e/USE CODE
9. /0
UTILITIES
Public ❑Private Ll Single $
I hereby certify that I have read and examined this application and have read the "NOTICE" provisions included _
on reverse side, and know the same to be true and correct. All provisions of laws and ordinances governing this 7' c2,
Building
type of work will be complied with whether specified herein or not. The granting of a permit does not presi.lme
to give authority to violate or cancel the provisions of any other state or local law regulating constructio/4 the
performance of construction.SEE REVERSE SIDE FOR REQUIRED INSPECTIONS 47 Plumbing
DATE OF APPLICATION As/X'2 2 SIGNATURE OF APPLICA �- . .: Mech.
c
SPECIAL APPROVALS SPECIAL CONDITIONS
NAME DATE i'r, u tc (( g 0 L.„,c,cz g \\/ ) Plan Check
Env. Health
SEPA
Planning O
C-)
Mobile Home w
Fire Marshall
lJ..
Co. Engineer Other (Specify)
utilities TOTAL $
Plans Examiner
WHEN MACHINE VALIDATED IN THIS SPACE,
SEPA Checklist THIS BECOMES A PERMIT.
`-_ !.,a -- Tec cian\ PERMIT IS NONTRANSFERABLE t+ Y * O J
0l4 8'2 27,8 2 d. 20,00 l-
PERMIT EXPIRES ONE YEAR FROM DATE OF ISSUANCE DATE ISSUED PERMIT NO. TOTAL